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ISSN 2096-2738 CN 11-9370/R
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Electronic Journal of Emerging Infectious Diseases ›› 2023, Vol. 8 ›› Issue (4): 60-63.doi: 10.19871/j.cnki.xfcrbzz.2023.04.013

• Original Articles • Previous Articles     Next Articles

Diagnostic value of tuberculin skin test, interferon gamma release assay and nucleic acid test in tuberculosis

Wu Duochi1, Liang Aiqun1, Wu Yeying1, Yun Fei2   

  1. 1. Department of Clinical Laboratory, Haikou People's Hospital(Haikou Affiliated Hospital of Central South University Xiangya School of Medical), Hainan Haikou 570208, China;
    2. Department of Tuberculosis, Haikou Center for Disease Control and Prevention, Hainan Haikou 570208, China
  • Received:2022-11-27 Online:2023-08-31 Published:2023-09-26

Abstract: Objective To investigate the value and difference of three diagnostic technologies, tuberculin skin test (TST), interferon gamma release assay assay (TB-IGRA) and nucleic acid test technology (NAT) in detection of tuberculosis. Method A total of 206 suspected tuberculosis patients admitted to the hospital from January 2021 to December 2021 were selected. Among them, 106 patients diagnosed with tuberculosis were divided into research group (17 new patients and 89 patients have been treated 1-2 months), and 100 patients with other pulmonary diseases were divided into control group. Two groups of patients were given TST, TB-IGRA and NAT detection, and the clinical value of these three detection methods was analyzed. Result The positive rates of the three detection methods in the research group were significantly higher than those in the control group (P<0.05); Compared with TST, the positive rates of TB-IGRA and NAT tests in the research group were higher, while the positive rates of TB-IGRA and NAT tests in the control group were lower, with a statistically significant difference (P<0.05); There was no statistically significant difference in TB-IGRA and NAT detection between new patients and patients with 1-2 month treatment (P>0.05); The coincidence rate, sensitivity, specificity of TB-IGRA and NAT detection were higher than those of TST detection, and the difference was statistically significant (P<0.05). Conclusion TB-IGRA and NAT have high diagnostic coincidence rates for tuberculosis, and both have high sensitivity and specificity.

Key words: Tuberculin skin test, Tuberculosis interferon gamma release assay, Nucleic acid test, Tuberculosis

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